Clinical and sociodemographic factors associated with the quality of life of children and adolescents with type 1 diabetes.

Revista da Escola de Enfermagem da U S P Pub Date : 2024-01-19 eCollection Date: 2024-01-01 DOI:10.1590/1980-220X-REEUSP-2023-0195en
Elisabeth Luisa Rodrigues Ramalho, Valéria de Cássia Sparapani, Rebecca Ortiz La Banca Barber, Renata Cardoso Oliveira, Lucila Castanheira Nascimento, Neusa Collet
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Abstract

Objective: To analyze clinical and sociodemographic factors associated with the health-related quality of life of children and adolescents with type 1 Diabetes Mellitus.

Method: A quantitative, cross-sectional and analytical study, developed in a municipality in northeastern Brazil, between March and September 2021, with 81 children/adolescents with type 1 Diabetes Mellitus and their guardians/caregivers. A questionnaire containing sociodemographic and clinical variables and two quality of life instruments were used. Descriptive and inferential analysis was carried out.

Results: Adolescents whose parents had a family income greater than a minimum wage had a lower prevalence of impaired quality of life when compared to those with a lower income. Adolescents with time since diagnosis of less than four years had a satisfactory quality of life, and children aged 8 to 12 years who self-administered insulin had a lower prevalence of high quality of life compared to those who did not.

Conclusion: Adolescents with a family income of less than a minimum wage, diagnosis time of more than four years and children aged 8-12 who self-administer insulin need greater professional support to have a better quality of life.

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与 1 型糖尿病儿童和青少年生活质量相关的临床和社会人口因素。
目的:分析与 1 型糖尿病儿童和青少年健康相关生活质量有关的临床和社会人口因素:分析与 1 型糖尿病儿童和青少年健康相关生活质量有关的临床和社会人口因素:2021 年 3 月至 9 月期间,在巴西东北部的一个城市开展了一项定量、横断面分析研究,81 名 1 型糖尿病儿童/青少年及其监护人/照顾者参与了研究。调查问卷包含社会人口学和临床变量以及两种生活质量工具。结果显示:父母收入较高的青少年的生活质量较高,而父母收入较低的青少年的生活质量较低:结果:与收入较低的青少年相比,父母家庭收入高于最低工资标准的青少年生活质量受损的比例较低。确诊时间少于四年的青少年的生活质量令人满意,与不自行注射胰岛素的儿童相比,自行注射胰岛素的 8 至 12 岁儿童的生活质量较高:结论:家庭收入低于最低工资标准、确诊时间超过四年的青少年以及自行注射胰岛素的 8 至 12 岁儿童需要更多的专业支持才能获得更好的生活质量。
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